Nutritional Assessment Flashcards
How many weeks gestation is considered born at term?
37- 42 weeks
Expected birth weight for boys and girls
50th centile 3.5kg for boys and girls
Low birth weight is considered as
Under 2.5kg regardless of gestation
Expected weight gain per week in a baby under 3 months
200g per week
Expected weight per week for 3 -6 month old
150g per week
Expected weight gain for 6 -9 months old
100g per week
Expected weight gain per week for 12-24 months old
75g per week
Expected weight gain per year for 24 months to puberty
2kg gain per year
Children born preterm 32-36 weeks gestation should be corrected until
1 year of age
Children born under32 weeks age should be corrected until
2 yrs of age
How do you calculate height age?
Plot child’s height measurement on growth chart
Track back to where measurement falls on 50th centile for height and read off corresponding age
How do you calculate expected / ideal weight for height?
Plot height centile
Read off the growth chart the weight that corresponds to the same weight centile as the height centile
What should be included in a clinical assessment?
7 points
1) born at term, any complications?
2) any hospital admissions since birth?
3) current diagnosis? Awaiting any investigation results?
4) history of reflux/ vomiting?
5) Bowles? Urine output?
6) any medications?
7) family history of allergies / feeding difficulties ?
Bowels and urine output for a baby ?
Over 1 week of age over 6 wet nappies a day
Over 2 dirty nappies a day
In a dietary assessment ask:
24hr recall Feedinghistory: Were they breast or bottle fed? Were they a good feeder? If breast fed when changed into formula and why? When we're solids introduced? Did they progress well through textures and food groups at weaning? Feeding tools? Distractions at feeding times? How long to feed? On any vitamin and mineral supplements?
